{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T01:04:20Z","timestamp":1782263060216,"version":"3.54.5"},"reference-count":29,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Mainstreaming neglected tropical diseases (NTDs) interventions in national health systems is one of the key strategies emphasized in the WHO Roadmap for NTDs. However, there is limited evidence on implementing the proposed mainstreaming approaches effectively. We used a participatory ranking methodology in Ethiopia, using consultative workshops with purposively selected stakeholders, including NTDs program leaders from the government and partners, primary health care (PHC) workers, and community leaders and volunteers. Our aim was to identify, rank, and contextualize mainstreaming challenges and strategies, which were then synthesized using the Primary Health Care Performance Initiative framework. Thirty-three stakeholders at the national, regional, district, PHC, and community levels participated in two consultative workshops conducted in the Adama and Shashemene towns in Ethiopia. The stakeholders identified 73 mainstreaming challenges related to service delivery (32 [43.8%]), inputs (22 [30.1%]), systems (18 [24.7%]), and outputs (1 [1.4%]). The top three most frequently cited and ranked challenges were poor data recording and reporting, poor drug management and logistics, and weak supportive supervision and monitoring. Among the 185 strategies identified to address these challenges, the three most frequently cited were establishing a strong, supportive supervision and monitoring system, continuous on-the-job training to build workforce competence, and performance-based motivation. Multifaceted NTDs campaign intervention mainstreaming challenges that are deep-rooted in the health system were identified. The suggested strategies to address them should be given due consideration not only to guide future mainstreaming efforts but also to facilitate health system strengthening.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0261","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T14:27:46Z","timestamp":1732631266000},"page":"467-478","source":"Crossref","is-referenced-by-count":7,"title":["Challenges and Strategies for Mainstreaming Neglected Tropical Diseases Campaign Interventions in Ethiopia"],"prefix":"10.4269","volume":"112","author":[{"given":"Awraris","family":"Hailu","sequence":"first","affiliation":[{"name":"Eyu-Ethiopia: Eye Health Research, Training & Service Centre, Bahir Dar, Ethiopia;"},{"name":"School of Public Health, Asrat Woldeyes Health Sciences College, Debre Berhan University, Debre Berhan, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teshome","family":"Gebre","sequence":"additional","affiliation":[{"name":"The Task Force for Global Health, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fikre","family":"Seife","sequence":"additional","affiliation":[{"name":"National NTDs, Program, Disease Prevention and Control Directorate, Ethiopia Ministry of Health, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendemagegn","family":"Enbiale","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adugna","family":"Tamiru","sequence":"additional","affiliation":[{"name":"National NTDs, Program, Disease Prevention and Control Directorate, Ethiopia Ministry of Health, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsegaye","family":"Yohanes","sequence":"additional","affiliation":[{"name":"Collaborative Research and Training Center for NTDs (CRTC-NTDs), Arba Minch University, Arba Minch, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amsayaw","family":"Yohannes","sequence":"additional","affiliation":[{"name":"National NTDs, Program, Disease Prevention and Control Directorate, Ethiopia Ministry of Health, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melese","family":"Kitu","sequence":"additional","affiliation":[{"name":"Eyu-Ethiopia: Eye Health Research, Training & Service Centre, Bahir Dar, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behailu","family":"Merdekios","sequence":"additional","affiliation":[{"name":"Research and Community Engagement, Arba Minch University, Arba Minch, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biruck","family":"Kebede","sequence":"additional","affiliation":[{"name":"RTI International, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fikreab","family":"Kebede","sequence":"additional","affiliation":[{"name":"National NTDs, Program, Disease Prevention and Control Directorate, Ethiopia Ministry of Health, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kebede","family":"Deribe","sequence":"additional","affiliation":[{"name":"Children\u2019s Investment Fund Foundation, Addis Ababa, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Burton","sequence":"additional","affiliation":[{"name":"International Centre for Eye Health, Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom;"},{"name":"National Institute for Health Research Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esmael","family":"Habtamu","sequence":"additional","affiliation":[{"name":"Eyu-Ethiopia: Eye Health Research, Training & Service Centre, Bahir Dar, Ethiopia;"},{"name":"College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia;"},{"name":"International Centre for Eye Health, Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Ending the Neglect to Attain the Sustainable Development Goals: A Road Map for Neglected Tropical Diseases 2021\u20132030.","year":"2020"},{"key":"b2","series-title":"Lancet","first-page":"1570","article-title":"Rescuing the bottom billion through control of neglected tropical diseases","volume":"373","author":"Hotez","year":"2009"},{"key":"b3","series-title":"Trans 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Ethiopia.","year":"2024"},{"key":"b9","series-title":"Health Sector Transformation Plan II (HSTP II) 2020\/21\u20132024\/25.","year":"2021"},{"key":"b10","series-title":"Realizing Universal Health Coverage Through Primary Health Care: A Roadmap for Optimizing the Ethiopian Health Extension Program 2020\u20132035","year":"2020"},{"key":"b11","series-title":"Ethiopia Health Extension Program: An Institutionalized Community Approach for Universal Health Coverage","author":"Wang","year":"2016"},{"key":"b12","series-title":"HMIS Indicators Reference Guide: Policy Planning Monitoring & Evaluation Directorate","year":"2022"},{"key":"b13","series-title":"Participative Ranking Methodology: A Brief Guide","author":"Ager","year":"2010"},{"key":"b14","author":"Wernette","year":"2020"},{"key":"b15","series-title":"J Gen Intern Med","first-page":"566","article-title":"Primary health care as a foundation for strengthening health systems in low- and middle-income 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